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Volume 18 , Issue 5
September/October 2005

Pages 399–404

Clinical Evaluation of the Use of Fiber Posts and Direct Resin Restorations for Endodontically Treated Teeth

Simone Grandini, DDS, MS, PhD/Cecilia Goracci, DDS, MSc, PhDb/Franklin R. Tay, BDS, FADM, PhD/Romano Grandini, DDS, MD/Marco Ferrari, DDS, MD, PhD

PMID: 16220805

Purpose: Restoration of root-treated teeth is routinely performed in clinical practice with a choice of therapeutic options, considering many factors to provide optimal mechanical properties, esthetics, and longevity. The aim of the present work was to present a preliminary clinical report on the use of fiber posts and direct resin composites for restoring root-treated teeth. Materials and Methods: Thirty-eight anterior and 62 posterior endodontically treated teeth were selected from 3 private prosthodontic offices. The protocol used included endodontic treatment, with translucent fiber posts (DT post) bonded to the post-space using a ‘1-bottle’ adhesive (One-Step, Bisco) and a dual-cure resin cement (DuoLink, Bisco). Direct resin restorations were performed using a micro-hybrid resin composite (Gradia Direct, GC) and a layering technique. Both opaque dentin and enamel and translucent enamel shades were used. Results: Patients were recalled after 6, 12, 24, and 30 months, and the restorations assessed according to predetermined clinical and radiographic criteria. These clinician-mediated evaluation methods confirmed the good clinical performance of the restorations. Conclusion: Restoration of endodontically treated teeth with fiber posts and direct resin composites is a treatment option, that in the short term conserves remaining tooth structure and results in good patient compliance.
Int J Prosthodont 2005;18:399–404.

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